| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
901 |
811 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
538 |
533 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
475 |
442 |
$27K |
| 99215 |
Prolong outpt/office vis |
103 |
101 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
299 |
274 |
$7K |
| 90686 |
|
213 |
212 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
313 |
309 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
204 |
179 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
132 |
130 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
47 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
31 |
30 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$804.33 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$725.04 |
| 36415 |
Collection of venous blood by venipuncture |
181 |
169 |
$480.60 |
| 92015 |
Determination of refractive state |
40 |
40 |
$443.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
42 |
$245.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
13 |
$208.05 |